Evidence map›Paper›PMID 24506622›Full record

ArticleMedical physics2014

Computer-aided detection of clustered microcalcifications in multiscale bilateral filtering regularized reconstructed digital breast tomosynthesis volume.

Ravi K Samala, Heang-Ping Chan, Yao Lu, Lubomir Hadjiiski, Jun Wei, Berkman Sahiner, Mark A Helvie

Open access · bronzeAbstract read
In one paragraph

Article in Medical physics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
4.1field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 26 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Ravi K SamalaDepartment of Radiology, University of Michigan, Ann Arbor, Michigan 48109-5842.
Heang-Ping ChanDepartment of Radiology, University of Michigan, Ann Arbor, Michigan 48109-5842.
Yao LuDepartment of Radiology, University of Michigan, Ann Arbor, Michigan 48109-5842.
Lubomir HadjiiskiDepartment of Radiology, University of Michigan, Ann Arbor, Michigan 48109-5842.
Jun WeiDepartment of Radiology, University of Michigan, Ann Arbor, Michigan 48109-5842.
Berkman SahinerCenter for Devices and Radiological Health, U.S. Food and Drug Administration, Maryland 20993.
Mark A HelvieDepartment of Radiology, University of Michigan, Ann Arbor, Michigan 48109-5842.
University of Michigan–Ann Arbor · USUnited States Food and Drug Administration · US

Funding

Combined Digital X-Ray, Optical, and Ultrasound Breast ImagingR01CA091713 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CARSON, PAUL L · 2002 to 2012
$10.1M
Improvement of microcalcification detection in digital breast tomosynthesisR01CA151443 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CHAN, HEANG-PING · 2011 to 2015
$3.0M
NCI NIH HHS CA91713NCI NIH HHS R01 CA091713NCI NIH HHS R01 CA151443NCI NIH HHS R01CA151443
6 · The paper itself

Abstract

purposeDevelop a computer-aided detection (CADe) system for clustered microcalcifications in digital breast tomosynthesis (DBT) volume enhanced with multiscale bilateral filtering (MSBF) regularization.

methodsWith Institutional Review Board approval and written informed consent, two-view DBT of 154 breasts, of which 116 had biopsy-proven microcalcification (MC) clusters and 38 were free of MCs, was imaged with a General Electric GEN2 prototype DBT system. The DBT volumes were reconstructed with MSBF-regularized simultaneous algebraic reconstruction technique (SART) that was designed to enhance MCs and reduce background noise while preserving the quality of other tissue structures. The contrast-to-noise ratio (CNR) of MCs was further improved with enhancement-modulated calcification response (EMCR) preprocessing, which combined multiscale Hessian response to enhance MCs by shape and bandpass filtering to remove the low-frequency structured background. MC candidates were then located in the EMCR volume using iterative thresholding and segmented by adaptive region growing. Two sets of potential MC objects, cluster centroid objects and MC seed objects, were generated and the CNR of each object was calculated. The number of candidates in each set was controlled based on the breast volume. Dynamic clustering around the centroid objects grouped the MC candidates to form clusters. Adaptive criteria were designed to reduce false positive (FP) clusters based on the size, CNR values and the number of MCs in the cluster, cluster shape, and cluster based maximum intensity projection. Free-response receiver operating characteristic (FROC) and jackknife alternative FROC (JAFROC) analyses were used to assess the performance and compare with that of a previous study.

resultsUnpaired two-tailed t-test showed a significant increase (p < 0.0001) in the ratio of CNRs for MCs with and without MSBF regularization compared to similar ratios for FPs. For view-based detection, a sensitivity of 85% was achieved at an FP rate of 2.16 per DBT volume. For case-based detection, a sensitivity of 85% was achieved at an FP rate of 0.85 per DBT volume. JAFROC analysis showed a significant improvement in the performance of the current CADe system compared to that of our previous system (p = 0.003).

conclusionsMBSF regularized SART reconstruction enhances MCs. The enhancement in the signals, in combination with properly designed adaptive threshold criteria, effective MC feature analysis, and false positive reduction techniques, leads to a significant improvement in the detection of clustered MCs in DBT.

Indexed as

BreastBreast NeoplasmsCalcinosisDiagnosis, Computer-AssistedFalse Positive ReactionsHumansImage Processing, Computer-AssistedMammographyReproducibility of ResultsSignal-To-Noise Ratio

Identifiers

PMID24506622
PMCPMC3977832
OpenAlexW1996777040

What OpenQuestion holds

Textmetadata
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.